• 제목/요약/키워드: PCT

검색결과 291건 처리시간 0.026초

혈청 프로칼시토닌(serum procalcitonin) 측정을 통한 패혈증 진단 및 중등도 평가의 유용성 (Utility of Serum Procalcitonin for Diagnosis of Sepsis and Evaluation of Severity)

  • 박태진;임채만;고윤석;홍상범
    • Tuberculosis and Respiratory Diseases
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    • 제70권1호
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    • pp.51-57
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    • 2011
  • Background: Early recognition and treatment of sepsis would improve patients' outcome. But it is difficult to distinguish between sepsis and non-infectious conditions in the acute phase of clinical deterioration. We studied serum level of procalcitonin (PCT) as a method to diagnose and to evaluate sepsis. Methods: Between 1 March 2009 and 30 September 2009, 178 patients had their serum PCT tested during their clinical deterioration in the medical intensive care unit. These laboratories were evaluated, on a retrospective basis. We classified their clinical status as non-infection, local infection, sepsis, severe sepsis, and septic shock. Then, we compared their clinical status with level of PCT. Results: The number of clinical status is as follows: 18 non-infection, 33 local infection, 39 sepsis, 26 severe sepsis, and 62 septic shock patients. PCT level of non-septic group (non-infection and local infection) and septic group (sepsis, severe sepsis, septic shock) was $0.36{\pm}0.57$ ng/mL and $18.09{\pm}36.53$ ng/mL (p<0.001), respectively. Area under the curve for diagnosis of sepsis using cut-off value of PCT >0.5 ng/mL was 0.841 (p<0.001). Level of PCT as clinical status was statistically different between severe sepsis and septic shock ($^*severe$ sepsis; $4.53{\pm}6.15$ ng/mL, $^*septic$ shock $34.26{\pm}47.10$ ng/mL, $^*p$ <0.001). Conclusion: Level of PCT at clinical deterioration showed diagnostic power for septic condition. The level of PCT was statistically different between severe sepsis and septic shock.

Synthesis and Thermal Properties of Poly(cyclohexylene dimethylene terephthalate-co-butylene terephthalate

  • Lee, Sang-Won;Wansoo Huh;Hong, Yoo-Seok;Lee, Kyung-Mi
    • Macromolecular Research
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    • 제8권6호
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    • pp.261-267
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    • 2000
  • It is well known that poly(cyclohexylene dimethylene terephthalate) (PCT) is used as the engineering plastics with high melting temperature and fast crystallization rate compared with poly(butylene terephthalate)(PBT). However, poor thermal stability of PCT has limited its practical application due to the drastic decrease of molecular weight during the processing temperature. In order to improve the thermal stability of PCT homopolymer, the copolymer of PCT and PBT was synthesized and the thermal properties of the copolymer have been studied. P(CT/BT) copolymer was obtained by condensation polymerization of DMT, CHDM, and 1,4-butanediol. The chemical structure and composition of the copolymer was investigated by FTIR and NMR analysis. The thermal behavior of copolymer was studied using DSC and it was found that the crystallization-melting behavior of the copolymer was observed for the whole composition range. TGA analysis exhibited that P(CT/BT) copolymer is more stable at the initial stage of thermal decomposition compared with PCT and PBT homopolymers.

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Usefulness of the procalcitonin test in young febrile infants between 1 and 3 months of age

  • Lee, In Sul;Park, Young Jin;Jin, Mi Hyeon;Park, Ji Young;Lee, Hae Jeong;Kim, Sung Hoon;Lee, Ju Suk;Kim, Cheol Hong;Kim, Young Don;Lee, Jun Hwa
    • Clinical and Experimental Pediatrics
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    • 제61권9호
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    • pp.285-290
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    • 2018
  • Purpose: To study the usefulness of the procalcitonin (PCT) test in young febrile infants between 1 and 3 months of age. Methods: We evaluated the medical records of 336 febrile infants between 1 and 3 months of age who visited the Emergency Department or outpatient department of Samsung Changwon Hospital from May 2015 to February 2017, and analyzed the clinical characteristics between infants in the serious bacterial infection (SBI) group and non-SBI group. Results: Among the 336 infants, 38 (11.3%) had definitive SBI (bacteremia, n=3; meningitis, n=1; urinary tract infection, n=34). The mean PCT ($6.4{\pm}11.9ng/mL$) and C-reactive protein (CRP) level ($3.8{\pm}2.6mg/dL$), and the absolute neutrophil count (ANC) ($6,984{\pm}4,675$) for patients in the SBI group were significantly higher than those for patients in the non-SBI group (PCT, $0.3{\pm}1.2ng/mL$; CRP, $1.3{\pm}1.6mg/dL$; ANC, $4,888{\pm}3,661$). PCT had lower sensitivity (43.6%), but higher specificity (92.6%) and accuracy (86.9%) than CRP (92.3%, 25.3%, and 33.0%) for identifying SBI. The area under the receiver operating characteristic curves (AUCs) for definitive SBI were PCT 77.0%, CRP 80.8%, WBC 56.8%, ANC 67.8%, and PLT 48.1%. The AUCs for definitive SBI were PCT+CRP 85.4%, PCT+WBC 77.2%, PCT+ANC 81.3%, CRP+WBC 80.1%, and CRP+ANC 81.6%. Conclusion: Our results suggest that the PCT test or a combination of PCT and CRP tests is a more accurate and specific biomarker to detect and rule out SBIs.

프로칼시토닌의 수준에 따른 C-반응성단백과 혈구산정검사의 변화 (Changes in C-Reactive Protein and Complete Blood Cell Count According to Procalcitonin Levels)

  • 김진산;박창은
    • 대한임상검사과학회지
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    • 제54권1호
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    • pp.15-22
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    • 2022
  • 프로칼시토닌(procalcitonin, PCT)은 세균성과 바이러스성의 감염을 구별하기 위한 과학적 근거와 진단상의 중요한 단서를 제공한다. 프로칼시토닌이 높은 환자의 임상적 특성과 예후를 조사하고 임상적 진단을 향상시키고자 한다. 프로칼시토닌이 일반적인 집단에서 패혈증의 유병률과 연관성이 있는지를 결정한다. 이에 본 연구는 1년 동안 프로칼시토닌을 검사한 외래 환자(127명)의 C-반응성단백과 혈구산정검사의 결과를 기반으로 후향적 조사연구이다. 분석에 사용된 데이터는 프로칼시토닌, C-반응 단백 그리고 혈구산정검사이다. PCT의 결과가 높은 군의 CRP와 WBC의 양성율은 정상군보다 높게 나타났다(P<0.05). 프로칼시토닌 수준의 특이성과 민감도는 C-반응단백과 백혈구 수준보다 높게 나타났다(P<0.05). 또한. 프로칼시토닌의 결과값을 삼분위한 그룹의 분석에서는 낮은 군과 중간군의 값에 비해 높은 군의 값이 평균보다 높은 것으로 나타났다(P<.001). 상관분석에서는 프로칼시토닌은 C-반응단백, 백혈구(호중구, 림프구 포함)에서 양의 상관성을 보였다(P<.001). 이 연구의 주된 발견은 높은 프로칼시토닌은 C-반응성단백, 백혈구들의 수준에서 높은 연관성을 보이며 진단적 가치를 확인하였다. 따라서 이러한 관련 인자들은 환자의 감염진단과 항생제 치료에 중요한 진단적 및 치료적 영향을 미칠 것으로 사료된다.

PCT특허분석을 통한 유망자유기술 탐색에 관한 연구 (Identifying Emerging Free Technologies by PCT Patent Analysis)

  • 정의섭;김영기;이성철;김영태;장영배
    • 한국전자통신학회논문지
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    • 제9권1호
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    • pp.111-122
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    • 2014
  • 중소기업은 창조경제의 중추적 역할을 담당하는 핵심 성장 동력원으로서 중요한 위치를 차지함에도 불구하고 중소기업의 현실은 희망이 없다. 중소기업의 혁신을 통한 중장기적 성장전략을 제시하고자 유망자유기술 탐색방법을 제안하고, 2006년부터 2010년까지 PCT 출원되어 공개된 특허를 조사하여 기술동향을 정량 분석한 다음, LED품목을 사례로 들어 PCT 및 국내 특허정보를 분석하고, 미래 유망 자유기술을 탐색하였다. 제시된 자유기술탐색 방법은 중소기업의 국제시장 진출 방향 설정 및 국가산업 전략의 수립에도 활용이 가능할 것이다.

Clinical usefulness of serum procalcitonin level in distinguishing between Kawasaki disease and other infections in febrile children

  • Lee, Na Hyun;Choi, Hee Joung;Kim, Yeo Hyang
    • Clinical and Experimental Pediatrics
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    • 제60권4호
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    • pp.112-117
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    • 2017
  • Purpose: The aims of this study were to compare serum procalcitonin (PCT) levels between febrile children with Kawasaki disease (KD) and those with bacterial or viral infections, and assess the clinical usefulness of PCT level in predicting KD. Methods: Serum PCT levels were examined in febrile pediatric patients admitted between August 2013 and August 2014. The patients were divided into 3 groups as follows: 49 with KD, 111 with viral infections, and 24 with bacterial infections. Results: The mean PCT level in the KD group was significantly lower than that in the bacterial infection group ($0.82{\pm}1.73ng/mL$ vs. $3.11{\pm}6.10ng/mL$, P=0.002) and insignificantly different from that in the viral infection group ($0.23{\pm}0.34ng/mL$, P=0.457). The mean erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) level in the KD group were significantly higher than those in the viral and bacterial infection groups (P<0.001 and P<0.001 for ESR, P<0.001 and P=0.005 for CRP, respectively). The proportion of patients in the KD group with PCT levels of >1.0 ng/mL was significantly higher in the nonresponders to the initial intravenous immunoglobulin treatment than in the responders (36% vs. 8%, P=0.01). Conclusion: PCT levels may help to differentiate KD from bacterial infections. A combination of disease markers, including ESR, CRP, and PCT, may be useful for differentiating between KD and viral/bacterial infections.

PCT 후 비정상 AlxOy 층 형성에 의해 발생된 불량 연구 (A Study on Failures by Abnormal AlxOy Layer after PCT)

  • 최채형;최득성;정승현
    • 전자공학회논문지
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    • 제51권11호
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    • pp.231-237
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    • 2014
  • 본 연구에서는 반도체 소자의 Pressure Cooker Test (PCT) 실시 후 발생한 불량의 원인 규명에 대한 연구를 진행하였다. 소자의 PCT 처리 후 알루미늄 배선과 소자 층들 사이의 층간박리와 알루미늄의 화학적 구성 변화 등의 불량이 발생되었다. 다양한 물리적, 화학적 관찰 도구를 활용하여 분석 진행한 결과 알루미늄 패드에서 알루미늄의 손실이 발생하였고, $Al_xO_y$($Al_2O_3$ 또는 $Al(OH)_3$)) 층이 비정상적으로 형성됨을 관찰하였다. 알루미늄 손실과 $Al_xO_y$ 층 형성의 원인은 식각 공정 시공급되는 F, Cl 가스와 침투된 수분의 반응에 의한 것이다.

화웨이의 PCT 특허 출원 동향분석 (Analysis of Huawei's PCT Patent Applications)

  • 김진환;한유진
    • 한국정보통신학회논문지
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    • 제19권11호
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    • pp.2507-2517
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    • 2015
  • 본 연구는 화웨이의 PCT 특허 출원 동향을 분석하는 것을 목적으로 하였다. 화웨이의 PCT 특허를 2000년대 초반, 2000년대 후반, 2010년대 초반으로 나누어 분석한 결과, 다음과 같은 세 가지 특징이 관찰되었다. 첫째, 2000년 초반에서 후반으로 들어서면서 PCT 특허 출원건수가 급격하게 증가했으며, 이 증가 추세는 2010년대 초반에도 이어졌다. 둘째, 집중했던 기술 분야는 2000년대 초/후반에는 'H04L: 디지털 정보전송(transmission of digital information)'이었지만, 2010년대 초반에는 'H04W:무선 통신 네트워크(wireless communication networks)' 로 변화하였다. 마지막으로, 특허맵 분석 결과 2000년대 초/후반에는 '사용자', '네트워크'와 관련된 일반적인 통신 기술이 주를 이루었다면, 2010년에는 '사용자 단말기', '기지국', 'MME'와 같은 이동전화 관련기술이 보다 활발히 개발되었음을 알 수 있었다. 특히 최근에는 화웨이가 4G의 주류 기술인 LTE 관련 특허 출원에 있어 애플, 삼성보다 더 적극적임을 고려할 때, 향후 글로벌 시장에서 더 큰 기술적 영향력을 지닐 것임을 시사한다.

대퇴 골두내 무혈성괴사 영역에 따른 응력변화 분석 -3차원 유한요소법을 이용한 분석- (A Finite Element Analysis of the Effects of Necrotic Area on Stresses in Early Osteonecrosis of Femoral Head)

  • 강승백;주원;김영민;김희중;최재봉;최귀원
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1996년도 추계학술대회
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    • pp.349-350
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    • 1996
  • Using FEM, we analyzed the stress changes on early osteonecrosis of femoral head as the necrotic area increases. A 3D FEM model of proximal femur was made from the CT scam data of fresh frozen adult proximal femur with the material properties from literature. The model consisted of 5994 elements and 5275 nodes. FE analyses were peformed using MSC/NASTRAN. At normal states, stress transmission is mainly along the primary compression trabeculae(PCT). Until 60% involvement of PCT with necrotic lesion, stress transmission is still along the remained PCT. When the PCT involvement is from 60% to 85%, stress transmission is along the PCT and margin of the necrotic lesion. When involvement is more than 85%, stress is mostly transferred to posterior part of femoral head.

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An Application of Realistic Evaluation Model to the Large Break LOCA Analysis of Ulchin 3&4

  • C. H. Ban;B. D. Chung;Lee, K. M.;J. H. Jeong;S. T. Hwang
    • 한국원자력학회:학술대회논문집
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    • 한국원자력학회 1996년도 춘계학술발표회논문집(2)
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    • pp.429-434
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    • 1996
  • K-REM[1], which is under development as a realistic evaluation model of large break LOCA, is applied to the analysis of cold leg guillotine break of Ulchin 3&4. Fuel parameters on which statistical analysis of their effects on the peak cladding temperature (PCT) are made and system parameters on which the concept of limiting value approach (LVA) are applied, are determined from the single parameter sensitivity study. 3 parameters of fuel gap conductance, fuel thermal conductivity and power peaking factor are selected as fuel related ones and 4 parameters of axial power shape, reactor power, decay heat and the gas pressure of safety injection tank (SIT) are selected as plant system related ones. Response surface of PCT is generated from the plant calculation results and on which Monte Carlo sampling is made to get plant application uncertainty which is statistically combined with code uncertainty to produce the 95th percentile PCT. From the break spectrum analysis, blowdown PCT of 1350.23 K and reflood PCT of 1195.56 K are obtained for break discharge coefficients of 0.8 and 0.5, respectively.

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